Active NPI
Ajay K Shukla, PHARMD
- Pharmacist
- Lawrenceville, NJ
National Provider Identifier
1336573260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03574400
- Practice address
- 3401 Princeton Pike RM C.4254H
Lawrenceville, NJ 08648-1205 - Phone
- (609) 302-5778
- NPI assigned
- Aug 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03574400 | NJ | Primary |
Addresses
Primary practice location
3401 Princeton Pike RM C.4254H
Lawrenceville, NJ 08648-1205
Mailing address
3401 Princeton Pike
Room C.4254H
Lawrence Township, NJ 08648
Other practice location 1
703 Ginesi Dr
Morganville, NJ 07751-1235
Phone (732) 617-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03574400 | NJ | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336573260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PRINCETON PIKE",
"address_2": "ROOM C.4254H",
"city": "LAWRENCE TOWNSHIP",
"state": "NJ",
"postal_code": "08648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PRINCETON PIKE RM C.4254H",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086481205",
"telephone_number": "609-302-5778"
}
],
"practiceLocations": [
{
"address_1": "703 Ginesi Dr",
"address_purpose": "LOCATION",
"city": "Morganville",
"state": "NJ",
"postal_code": "077511235",
"country_code": "US",
"telephone_number": "732-617-8686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUKLA",
"first_name": "AJAY",
"middle_name": "K",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03574400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.